| NPI | 1851962377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95396766) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 689282) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-11-06 |