| NPI | 1841143740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN 817467) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 326252) |
| Enumeration Date | 2026-02-19 |
| Last Update Date | 2026-02-19 |