| NPI | 1982836649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 308726-031) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703101878) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |