| NPI | 1891389532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN297711) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP52523) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-26 |