| NPI | 1326339763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95106024) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 254992) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2016-12-08 |