| NPI | 1740836923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 288579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95188855) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |