| NPI | 1659029858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IA P415059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 183284) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2025-09-26 |