| NPI | 1336691245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN303491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 989315) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-04-28 |