| NPI | 1417270935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0024066176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001066176) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |