| NPI | 1053807081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 133444) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27065057A) |
| 164W00000X Licensed Practical Nurse (Licence: OH 139155) | |
| 164X00000X Licensed Vocational Nurse (Licence: TX 308048) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |