| NPI | 1578392122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 286903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95407989) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2026-09-01 |