NPI | 1053827105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS 329864) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703114738) |
Enumeration Date | 2017-12-26 |
Last Update Date | 2018-03-17 |