NPI | 1215448352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: IL 043117036) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043117036) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2017-10-16 |