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 |