| NPI | 1407183338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.108171) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27063343A) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |