| NPI | 1891317558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 74990) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 774990) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |