| NPI | 1720298722 |
|---|---|
| Former Name | CAROL MARIE LIBERKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support (Licence: SD SD-CNS CS004005) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |