| NPI | 1588098362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MO 2010031586) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 41369) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |