| NPI | 1659549673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ME PO11177) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NH 010199-22) |
| 164W00000X Licensed Practical Nurse (Licence: MA 34349) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |