| NPI | 1457047565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: ID 62868) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: ID 62868) |
| 164W00000X Licensed Practical Nurse (Licence: OR 2022114165) | |
| 164W00000X Licensed Practical Nurse (Licence: WA 61064484) | |
| 164W00000X Licensed Practical Nurse (Licence: CA 695054) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-14 |