NPI | 1114208139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 306190) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 306190) |
Enumeration Date | 2011-09-03 |
Last Update Date | 2011-09-03 |