| NPI | 1235911942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 723573) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2024-06-26 |