| NPI | 1407460561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN687673) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA LVN687673) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |