| NPI | 1083275333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN283579) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ME LPN14116) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |