| NPI | 1740668953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 797657) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn110960pnhp) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |