| NPI | 1659625499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 59949) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: NC FCL-032-122) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2023-11-27 |