| NPI | 1295161545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-064909) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX E3084504) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-10-03 |