| NPI | 1427589456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AR L057244) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VT 0250126913) |
| 164W00000X Licensed Practical Nurse (Licence: OK 65275) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |