| NPI | 1336033968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 72550) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA 101538) |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |