NPI | 1407594567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 226461) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN226461) |
Enumeration Date | 2022-05-26 |
Last Update Date | 2022-05-26 |