| NPI | 1972268340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 758822) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2026-03-24 |