| NPI | 1326023227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: HI 11338) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 2051432) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-07-08 |