| NPI | 1366847055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN194535) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-066329) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |