| NPI | 1932897287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV 862980) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 1074631) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 717736) | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |