NPI | 1003122920 |
---|---|
Former Name | PATRICIA SNOW GILBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201030307LPN) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OR 200812356CNA) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2015-12-10 |