| NPI | 1982743274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 71590) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 8517) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-07-23 |