| NPI | 1467144543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 688963) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC 1008651) |
| 164W00000X Licensed Practical Nurse (Licence: FL 5233765) | |
| 164W00000X Licensed Practical Nurse (Licence: RI 11739) | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |