| NPI | 1952341182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO 43301) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 056200) |
| 164W00000X Licensed Practical Nurse (Licence: OH PRO100642) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |