| NPI | 1891223111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 198957) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN198957) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2024-01-16 |