| NPI | 1255905220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95269050) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 287381) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2022-01-28 |