| NPI | 1710535687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 696096) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2020-02-25 |