| NPI | 1376209528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 091380) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330094) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |