| NPI | 1881201341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: NM 61422) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 185626) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2022-11-29 |