| NPI | 1669138897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95308319) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA LVN250166) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2022-10-31 |