| NPI | 1518737238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 827032) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 718244) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |