| NPI | 1598016107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043067363) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IA P28748) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |