| NPI | 1427388073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV LPN14436) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 249859-1) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |