NPI | 1164843793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 7063) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 131997) |
Enumeration Date | 2013-12-27 |
Last Update Date | 2013-12-27 |