| NPI | 1215309935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN241739) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: CA VN241739) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |