| NPI | 1982279519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95423947) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN688039) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-07-02 |