| NPI | 1700393766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NM LPN-22383) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NM LPN-22383) |
| 171M00000X Case Manager/Care Coordinator | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2020-04-06 |