| NPI | 1518666460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.130652) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |