| NPI | 1730454984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 718992) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ 246816) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2022-06-29 |