| NPI | 1982228532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 710303) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 71303) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-30 |