| NPI | 1619250834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 312273-031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 221100-30) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2025-06-02 |