| NPI | 1356922058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9644308) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 524319) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2026-05-06 |