NPI | 1043463656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN 225655) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2008-10-28 |
Last Update Date | 2013-07-24 |