NPI | 1467015107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN207883) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA VN207883) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2019-04-18 |