| NPI | 1306369848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 321714-31) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 32171431) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |