| NPI | 1417283888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.101362) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA VN223078) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |