| NPI | 1649440082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5172884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9267309) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |