| NPI | 1861293904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR LPN10042105) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5245304) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |