| NPI | 1528543477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ TLP052148) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN94764) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |