| NPI | 1154618668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 15803) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN202744) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-05-14 |