| NPI | 1861902694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 137349) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN137349) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2018-11-14 |