| NPI | 1548527740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 312658-31) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: WI 291818) |
| 376K00000X Nurse's Aide (Licence: WI 291818) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-05-21 |