| NPI | 1871327056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP051484) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 332426) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |