NPI | 1215178439 |
---|---|
Former Name | SHELBI LYNN WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP 60013980) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6466) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2009-03-18 |