| NPI | 1538276241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OK L0035986) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 147398) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2025-09-11 |