| NPI | 1053583385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN268640) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DE L2-0005832) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |