| NPI | 1033356365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TN TN70727) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043054946) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |