| NPI | 1013109677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN136932) |
| Additional Taxonomies | 2278S1500X Respiratory Therapist, Certified SNF/Subacute Care (Licence: CA VN136932) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-11-11 |