| NPI | 1629719968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 291882) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 291882) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2024-08-14 |