| NPI | 1245474097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN235929) |
| Additional Taxonomies | 374700000X Technician (Licence: CA VN235929) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |