| NPI | 1598138281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS 322915) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN 77822-2) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |