| NPI | 1922324136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA vn227856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 807696) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2012-05-22 |