| NPI | 1215329172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95142808) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 285896) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2019-10-17 |