NPI | 1124421599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002081546) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1005627) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2014-09-30 |