| NPI | 1962139246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 95422941) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 726669) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-06-25 |