| NPI | 1073038402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 691853) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95354618) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2024-09-30 |