| NPI | 1831630847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95411666) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN282037) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2026-05-08 |