| NPI | 1366968992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 689202) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CA 100284) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |