| NPI | 1144560897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 200830473LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: HI LPN 17499) |
| 164W00000X Licensed Practical Nurse (Licence: WA LP 60262043) | |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2013-02-22 |