| NPI | 1841789054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 697566) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-06-13 |