| NPI | 1225223845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5204170) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA 105912) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2023-04-15 |