| NPI | 1982186862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AR L050661) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IA P62012) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |