| NPI | 1306073473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 951411) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: LA 951411) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |