| NPI | 1174988679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TX 222095) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 159599) |
| 164W00000X Licensed Practical Nurse (Licence: CT 026749) | |
| 164W00000X Licensed Practical Nurse (Licence: MA LN93257) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |