| NPI | 1659092187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95409276) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 724766) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2025-06-02 |