| NPI | 1518844778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NE 16517) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NE 16517) |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-27 |