| NPI | 1013619675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 704281) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA 704281) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |