| NPI | 1245444355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN275902) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002068051) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |