| NPI | 1063391670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 730790) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 46059) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |