| NPI | 1013396340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN192615) |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2019-12-31 |