| 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 |