| NPI | 1770785164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 178081) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 178681) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-05-17 |