| NPI | 1104474238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: SC 004399) |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2022-10-13 |