| NPI | 1922297894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN307981) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA48037) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2023-08-01 |