| NPI | 1790252385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 283720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95200298) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2019-08-05 |