| NPI | 1851966642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN707749) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA Vn) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |