| NPI | 1235849555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 202209494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202209494) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-04-17 |