| NPI | 1235471939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 316771-31) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 76532) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |