| NPI | 1588989354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CFo03338) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN LPN0000072602) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |