| NPI | 1295184109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 107817) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IA P55775) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |