| NPI | 1922795863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95338468) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 733089) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-06-15 |