| NPI | 1598506271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95391806) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 720478) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-11-22 |