| NPI | 1629547906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 289888) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA vn289888) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2022-12-07 |