| NPI | 1952261240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5216895) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN101370) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |