| NPI | 1306305917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO PN.0035022) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IA P36042) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |