| NPI | 1942441076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 72999) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 0000072999) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2020-05-12 |