| NPI | 1376052704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 259232) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: HI 18362) |
| 164W00000X Licensed Practical Nurse (Licence: WA LP60508988) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |