| NPI | 1669985784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN266824) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 305995) |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2019-06-05 |