| NPI | 1639447881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 280367) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: IA Registry#226991) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2022-08-12 |