| NPI | 1215405972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95318903) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 273268) |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2025-02-18 |