| NPI | 1467225219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 737630) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CA 176011) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |