| NPI | 1275782393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 307841-031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 165186-030) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |