| NPI | 1497247779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95235304) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 685601) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2020-12-08 |