NPI | 1720854987 |
---|---|
Former Name | ELIZABETH JIMENEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 710059) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TN 91181) |
Enumeration Date | 2023-11-29 |
Last Update Date | 2023-11-29 |