| NPI | 1184281180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 34062-31) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 3406231) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |