| NPI | 1942527155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043108126) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI #308422-031) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |