| NPI | 1164518510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN 5182298) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-10-13 |