| NPI | 1578227641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 180321) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN180321) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2023-03-10 |