| NPI | 1245470038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 226742) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 214424) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2024-09-27 |