NPI | 1194901579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN271437) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL LP41709) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2008-01-15 |