| NPI | 1710404611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95182198) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 686104) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |