| NPI | 1104304625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN693041) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 342612) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2022-09-07 |