| NPI | 1720509110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 275937) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN275937) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2018-03-17 |