| NPI | 1033489463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA LVN213565) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA vn213565) |
| Enumeration Date | 2012-01-02 |
| Last Update Date | 2021-07-29 |