| NPI | 1487050498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 261437) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: CA P5906) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |