| NPI | 1346032893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO 0338809) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO PN.0338809) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |