| NPI | 1760101984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0024360) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN298458) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |