| NPI | 1275072290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 284622) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN284622) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2023-06-22 |