| NPI | 1841448024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN067694) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC P33481) |
| Enumeration Date | 2008-08-31 |
| Last Update Date | 2008-08-31 |