| NPI | 1710225586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN085313) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043089158) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |