| NPI | 1588131734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 287402) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn287402) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |