NPI | 1134366982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IA P42342) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 145221) |
Enumeration Date | 2009-01-15 |
Last Update Date | 2020-08-19 |