| NPI | 1073955738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5236140) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA264629) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2020-12-30 |