NPI | 1073926671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 318143-31) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WI NA302238) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2014-06-11 |