| NPI | 1376955674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 272690) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA LVN VN272690) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-06-26 |