| NPI | 1346488053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0009001) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN 263189) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |