| NPI | 1477549798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: HI LPN-15233) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002064641) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-07-08 |