| NPI | 1568220994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN290876) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DE L2-0024455) |
| 164W00000X Licensed Practical Nurse (Licence: NJ 26NP49559100) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2026-02-19 |