| NPI | 1831915560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 273495) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-12-31 |