| NPI | 1972794881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AR L046881) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR LTP-001199) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2018-06-04 |