| NPI | 1114446085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95182524) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN263302) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2019-02-19 |