| NPI | 1548568116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 688739) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 312299031) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2020-12-02 |