| NPI | 1235016445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5267775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 5267775) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-20 |