| NPI | 1922303767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-060344) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5220040) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2016-10-27 |