| NPI | 1457994352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 084021) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 84021) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2021-10-20 |