| NPI | 1336896638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: CA 95424070) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN722564) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2025-06-30 |