| NPI | 1588803183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0008120) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN104032L) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |