| NPI | 1477907111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 878975) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703109056) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-01-07 |