| NPI | 1164887279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA VN 227883) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK NURP6821) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2018-06-20 |