| NPI | 1689135469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 306306-031) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 306306-31) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |