| NPI | 1659806800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN lpn0000052001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 159069) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |