| NPI | 1770838344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN265441) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: CA 72459) |
| 376K00000X Nurse's Aide (Licence: CA 00471116) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |