| NPI | 1831886662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 71026) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 701026) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-05-25 |