| NPI | 1881219558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 703322) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CA 703322) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2025-03-04 |