| NPI | 1497546188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA 1004008) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: RI 13964) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |