| NPI | 1982078630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN259361) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60325605) |
| 164W00000X Licensed Practical Nurse (Licence: OR 201130110LPN) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |