| NPI | 1205542693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 689663) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: RI LPN11234) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |