| NPI | 1093998817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN96522) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: CA PT 21364) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |