| NPI | 1194176958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-027063) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN935011) |
| 164W00000X Licensed Practical Nurse (Licence: ME LPN13843) | |
| 164W00000X Licensed Practical Nurse (Licence: NM LPN-23090) | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |