| NPI | 1316786288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5242732) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR PN10023966) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |