| NPI | 1598904823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 6494) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC P39597) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |