| NPI | 1104537331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95396494) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 705355) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-10-07 |