| NPI | 1114549326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27080910A) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 352933) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2025-02-25 |