| NPI | 1902663818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MD LP49976) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP49976) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |