| NPI | 1093532400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 683286) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN683286) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |