| NPI | 1932392842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043060610) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 272534) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 228418) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |