| NPI | 1265869937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VM147196) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA VM147196) |
| 347C00000X Private Vehicle (Licence: CA VM147196) | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |