| NPI | 1639840887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 851382) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 718312) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2025-02-24 |