| NPI | 1538401500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN286135) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA 193087) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |