| NPI | 1821802554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0024053) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN303658) |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |