NPI | 1013259621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN293125) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA PN293125) |
Enumeration Date | 2013-03-21 |
Last Update Date | 2013-03-21 |