| NPI | 1336857853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NE 27532) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 709590) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |