NPI | 1174730006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN271636) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5163877) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |