| NPI | 1992119861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SC 16570) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC P16570) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |