| NPI | 1396101705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 847340) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NV 847340) |
| 164W00000X Licensed Practical Nurse (Licence: NY 324269) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-06-20 |