| NPI | 1659876100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP0013559) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP013559) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |