| NPI | 1750937710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95211463) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 280717) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-03-05 |