| NPI | 1255564555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 200830364LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP 60066246) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |