| NPI | 1841673373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 30000487) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN235668) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2025-01-28 |