NPI | 1518580299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA LVN702649) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 702649) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2021-03-04 |