| NPI | 1952879215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 682907) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: HI LPN-17325) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |