| NPI | 1609665439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 713612) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN713612) |
| 374T00000X Religious Nonmedical Nursing Personnel (Licence: CA VN713612) | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-07-22 |