| NPI | 1578852596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201130082lpn) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OR 200412048cna) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |