| NPI | 1225496631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 761089) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2026-09-03 |