| NPI | 1265715825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN264691) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 145722) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2014-09-18 |