| NPI | 1548524531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP54397) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00124827) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2021-01-25 |