| NPI | 1285216598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 78409) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 708409) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |