NPI | 1013656073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 699148) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 200437) |
Enumeration Date | 2022-05-28 |
Last Update Date | 2022-05-28 |