| 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 |