| NPI | 1376269423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 724141) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 72424) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |