| NPI | 1932448743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 28634) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 311952) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |