| NPI | 1710272802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 253172) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA 00773524) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |