| NPI | 1508062324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN LPN0000033166) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TN MDX0000001736) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |