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 |