| NPI | 1669180170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95412688) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 727868) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-05-13 |