| NPI | 1053774323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 81405) |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-04 |