| NPI | 1275396970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ 031381) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 201030068lPN) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |