NPI | 1083059588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 95136) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10 307776) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2020-07-23 |