| NPI | 1114718442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SD P009664) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SD SD-LPNP009664) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |