| NPI | 1053145383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-053443) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 2-053443) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-03-28 |