| NPI | 1194181685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002075697) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VT 025.0102843) |
| 164W00000X Licensed Practical Nurse (Licence: WV 35370) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |