| NPI | 1497933766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN040454L) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP039549) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |