| NPI | 1033653183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5226205) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-063418) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |