| NPI | 1740940451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95382111) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 689605) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2024-10-23 |