| NPI | 1235444548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-060494) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 220648) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |