| NPI | 1508321357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 291772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95206085) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-07-08 |