| NPI | 1700369477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 276222) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MT LPN-127440) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |