NPI | 1194073031 |
---|---|
Former Name | SHIRLEY DENISE HILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201130551LPN) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 16030) |
164X00000X Licensed Vocational Nurse (Licence: CA VN112467) | |
Enumeration Date | 2012-08-27 |
Last Update Date | 2012-08-27 |