| NPI | 1962988279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95231418) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 258994) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2020-10-18 |