| NPI | 1548397557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO PN-45095) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-11-25 |