| NPI | 1912541186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 274678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95373209) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-05-28 |