| NPI | 1952015893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MO 2010018163) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043131046) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |