| NPI | 1255835252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 7073) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 192920) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |