| NPI | 1942441597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 307708-031) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043.103286) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |