| NPI | 1558636019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002085420) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: VA 1401140286) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |