NPI | 1548885569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95403017) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 690712) |
164X00000X Licensed Vocational Nurse (Licence: CA 690712) | |
Enumeration Date | 2020-06-15 |
Last Update Date | 2025-02-03 |