NPI | 1184017113 |
---|---|
Former Name | CHERYL HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AR L052387) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |