| NPI | 1841453255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ND L9712) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R32806) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2009-05-06 |