| NPI | 1902247778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 61932) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA 081170) |
| 376K00000X Nurse's Aide (Licence: TN 77580) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |