| NPI | 1982568010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ND L9878) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN 822180) |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |