| NPI | 1811127103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: FL pn835261) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 376J00000X Homemaker | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |