| NPI | 1164997144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 95351877) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA Vn695412) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2024-12-27 |