| NPI | 1043080476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN301121) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 32549101) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |