| NPI | 1316418627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN LPN0000075880) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 0000075880) |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2018-12-12 |