| NPI | 1598547762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 739543) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN100795) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-10-22 |