NPI | 1003230061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN710636) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2014-02-11 |
Last Update Date | 2022-10-26 |