| NPI | 1730061532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 47303128166) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN183449) |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-28 |