| NPI | 1144788589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN151599L) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2023-07-17 |