| NPI | 1922297936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27059590A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L057797-3) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |