| NPI | 1114374279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 253052) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN253052) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2026-07-02 |