| NPI | 1033454178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA Lpn020746) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL Pn5188998) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |