| NPI | 1831947993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 214385) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR 221289) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |