NPI | 1073336640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5249151) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: FL PN5249151) |
Enumeration Date | 2024-11-04 |
Last Update Date | 2024-11-04 |