| NPI | 1639685639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS 334167) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MS 931616) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2025-05-28 |