| NPI | 1053812909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN693250) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA VN693250) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-03-05 |