| NPI | 1821486549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VT 025.0097155) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NH 016578-22) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |