NPI | 1013005297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN285688) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK L0037140) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2017-09-29 |