| NPI | 1851432405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse School (Licence: NM 53527) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 37326) |
| 164W00000X Licensed Practical Nurse (Licence: NM 53527) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-10-11 |