| NPI | 1689075251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95142805) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 282814) |
| Enumeration Date | 2014-09-14 |
| Last Update Date | 2017-11-04 |