| NPI | 1427523034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA LVN277261) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA LPT277261) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-12-14 |