| NPI | 1891950952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN273186) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA 47433601) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2022-10-24 |