| NPI | 1770978868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 286490) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703095545) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2019-07-10 |