| NPI | 1215829387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 318838-31) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703114248) |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |