| NPI | 1467968206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95296962) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 109732) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2024-10-23 |