NPI | 1023206190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P317693) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-051611) |
Enumeration Date | 2007-10-13 |
Last Update Date | 2007-10-13 |