| NPI | 1487424982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 17696) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: HI 15448) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |