NPI | 1235626854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN259770) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95173019) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2019-06-14 |