NPI | 1134330657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN261420L) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DE L2-0008740) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2007-07-08 |