| NPI | 1790677557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NE 24778) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 2902) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |