| NPI | 1447765813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5195088) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 5195088) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2020-05-21 |