| NPI | 1740647080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA LVN273175) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 273175) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2020-01-27 |