| NPI | 1821807793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN L51014-7) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L510147-7) |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-01-04 |