| NPI | 1821804212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VT 025.0135719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0155457) |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2026-01-16 |