NPI | 1497288708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN687231) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA VN687231) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2017-04-05 |