| NPI | 1538330006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 9769) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: ID 00030570602) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2012-10-26 |