| NPI | 1710132709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV LPN17070) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn125254) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2024-01-03 |