| NPI | 1578723003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SD P008845) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: SD P008845) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |