| NPI | 1235414319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0011433) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN281672) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |