| NPI | 1073747358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 200930128LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NV LPN11274) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |