| NPI | 1326278292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KY 2016097) |
| Additional Taxonomies | 225B00000X Pulmonary Function Technologist |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |