| NPI | 1639326598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P323180) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 05447) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |