| NPI | 1730585050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP048968) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN076877) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2017-03-08 |