| NPI | 1528346764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO 45828) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO 708489) |
| 164W00000X Licensed Practical Nurse (Licence: PA PN285603) | |
| 164W00000X Licensed Practical Nurse (Licence: IL 043.108900) | |
| 164W00000X Licensed Practical Nurse (Licence: IN 27063449A) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |