| NPI | 1245247881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MO 047447) |
| Additional Taxonomies | 376G00000X Nursing Home Administrator (Licence: MO 5401) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |