| NPI | 1023289006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WY 3803) |
| Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: WY 3803) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |