| NPI | 1194530469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: UT 174155-3101) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: UT 174155-3101) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-04-10 |