| NPI | 1720136997 |
|---|---|
| Former Name | LISA MARINA EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN 203372) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA VN 203372) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2018-08-06 |