| NPI | 1225505670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA LVN685561) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 685561) |
| 164W00000X Licensed Practical Nurse (Licence: CA 685561) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-11-21 |