| NPI | 1083883300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002052173) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: VA 1046792OASA) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |