| NPI | 1548380033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN1068941) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: FL PN1068941) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: FL PN1068941) | |
| 347C00000X Private Vehicle (Licence: FL PN1068941) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-06-11 |