| NPI | 1073307997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 826199) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 323642) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |