| NPI | 1609080985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA TLPN003944) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5157986) |
| 164X00000X Licensed Vocational Nurse (Licence: TX 205047) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |