| NPI | 1659251791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 5263445) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: 5263445) |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |