| NPI | 1093127623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL pn5208968) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL cna142318) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-07-01 |