| NPI | 1518308345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 870709) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 310785) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2024-05-21 |