| NPI | 1457876740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95140270) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 283958) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-10-27 |