| NPI | 1184441388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ND L17154) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN 822069) |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |