| NPI | 1124458161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN172006) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: CA VN172006) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2014-01-15 |