| NPI | 1982340121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95301415) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 268907) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-10-23 |