| NPI | 1821783002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 707282) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 10001552) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |