| NPI | 1740703974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95408671) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 690114) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2025-03-09 |