| NPI | 1427882968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: RI lpn13313) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 41777) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |