| NPI | 1588311260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703122868) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 17353) |
| 164W00000X Licensed Practical Nurse (Licence: AZ 240162) | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |