| NPI | 1396633525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 89374) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |