NPI | 1154964963 |
---|---|
Former Name | NANCY FRIEND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KY 2054309) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 172794) |
Enumeration Date | 2019-10-24 |
Last Update Date | 2020-03-20 |