| NPI | 1760791768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 250072) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA 00671706) |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2010-09-25 |