| NPI | 1831330760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-015239) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6307) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |