| NPI | 1558190454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 255344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95439112) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2026-08-31 |