| NPI | 1730347469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP42740) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN964085) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |