| NPI | 1396944518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP35794) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN8446) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |