| NPI | 1609636604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95375629) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 714885) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-06-10 |