| NPI | 1891249520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.120095) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WI 342266) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |