| NPI | 1275059024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95313697) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 289464) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2023-04-06 |