NPI | 1033688585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95355862) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA LVN700558) |
Enumeration Date | 2018-11-14 |
Last Update Date | 2024-05-28 |