| NPI | 1346957552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5242698) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL F8J3R2G2) |
| 376K00000X Nurse's Aide (Licence: FL 259957) | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |