| NPI | 1508222555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN294551) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ME LPN13801) |
| 164W00000X Licensed Practical Nurse (Licence: NM LPN-23009) | |
| 164W00000X Licensed Practical Nurse (Licence: FL PN5222367) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |