| NPI | 1184492597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: UT 13153183-3101) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: HI 19806) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 707048) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |