| NPI | 1396698981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5265870) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL PN5265870) |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |