| NPI | 1669857736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 742568) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: CA CPT00050184) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-11-04 |