| NPI | 1831377803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO 44470) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA VN203060) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-03-17 |