| 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 |