| NPI | 1861068686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-050363) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: AL 2-050363) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |