| NPI | 1336377134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5154935) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL PN5154935) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |