NPI | 1083602494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: HI 14355) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27046488a) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2007-07-08 |