| NPI | 1790098374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PR 32943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 32943) |
| 283Q00000X Psychiatric Hospital (Licence: PR 32943) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |