| NPI | 1568799328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IA P46672) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP 00058646) |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2009-11-14 |