| NPI | 1194080762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 721795) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 301214-1) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2022-01-19 |