| NPI | 1306689948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 743162) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-23 |