NPI | 1265186944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 752436) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2022-02-10 |
Last Update Date | 2025-08-26 |