| NPI | 1609476217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 17810) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 687528) |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |