| NPI | 1639703994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 834472) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 332772) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2024-04-01 |