| NPI | 1144824517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 705588) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CA 5733) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |