| NPI | 1518419837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 059013) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN 67259-3) |
| 164W00000X Licensed Practical Nurse (Licence: WA LP00048166) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |