| NPI | 1417444274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 321215-31) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 321215) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |