| NPI | 1528516127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95162547) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 255162) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2019-11-12 |