| NPI | 1013363472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 284262) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA 00792568) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |