| NPI | 1104550334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: CA 95396568) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 720292) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2025-07-28 |