| NPI | 1760654271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MO 056717) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 2435627072) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |