| NPI | 1457888083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5225372) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 283357) |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2017-05-14 |