| NPI | 1538549100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: UT 8898977-3101) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |