| NPI | 1295505808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: NV 814346) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN213124) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |