NPI | 1356871099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 280407) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2017-06-15 |
Last Update Date | 2019-10-04 |