| NPI | 1649556028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 190722) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 190722) |
| 174H00000X Health Educator (Licence: CA 190722) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2012-08-05 |