| NPI | 1356892400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 743469) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP47332) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2026-02-04 |