| NPI | 1639683717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95179061) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN292599) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-12-28 |