| NPI | 1407203102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95095563) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn 274578) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-10-26 |