| NPI | 1497161533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95217692) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 225159) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2020-04-23 |