| NPI | 1083602494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: HI 14355) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27046488a) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-07-08 |