| NPI | 1801427190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ND L16232) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: ND R51904) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2022-08-02 |