| NPI | 1407441256 |
|---|---|
| Former Name | TAI CHI ANANDA CANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 253696) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: HI LPN-19961-0) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |