| NPI | 1033859301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 30004990) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2025-08-10 |