| NPI | 1912100272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 817559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 817559) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 182619) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-05-06 |