NPI | 1083275333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN283579) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ME LPN14116) |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-06-27 |