| NPI | 1750043378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95296436) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 710056) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2022-11-23 |