| NPI | 1487984894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 717222) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 303571-031) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2024-03-11 |