| NPI | 1922123918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP00045462) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703064716) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |