| NPI | 1134481500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002089076) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN281833) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-10-26 |