| NPI | 1710500368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 203035) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 293035) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2024-02-22 |