NPI | 1609405539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN722850) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 33217) |
Enumeration Date | 2020-04-03 |
Last Update Date | 2024-01-26 |