| NPI | 1821244351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP038334) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-111351) |
| 164X00000X Licensed Vocational Nurse (Licence: CA VN203660) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |