| NPI | 1134953995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ND L15574) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 49101) |
| 164W00000X Licensed Practical Nurse (Licence: ND T14433) | |
| 164W00000X Licensed Practical Nurse (Licence: WY 8251) | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |