| NPI | 1952833824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN 292957) |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy (Licence: CA E9L2B7K4) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |