| NPI | 1114760436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN297503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9610147) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-08-06 |