| NPI | 1306131446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: AK 142293) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 253763) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2019-02-21 |