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 |