| NPI | 1861244980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 94331) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 376G00000X Nursing Home Administrator (Licence: TN 3918) | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-08-09 |