| NPI | 1154872737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN207972) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 207972) |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: CA VN207972) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |