| NPI | 1104291749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN 274240) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 226505) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |