| NPI | 1952809022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA pn263407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA PN263407) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-06-06 |