| NPI | 1992090641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VT 025.0069694) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VT 0250069694) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-11-10 |