| NPI | 1730474529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN682197) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP034207) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2016-04-20 |