| NPI | 1891786265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: HI 14395) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 94565) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |