| NPI | 1427499771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN276845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA PN276845) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |