| NPI | 1710500368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95398207) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 203035) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 95398207) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2024-11-01 |