| NPI | 1952793986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA LPN299140) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA pn299140) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2018-10-10 |