| NPI | 1366569808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0009043) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN261986) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |