| NPI | 1518119254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5221330) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27031481A) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2016-12-19 |