| NPI | 1922424100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK NURP7084) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 311178) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2015-06-29 |