| NPI | 1770048878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95346438) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA LVN695909) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 695909) | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-09-08 |