NPI | 1215496948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 2018090389LPN) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WA LP60253670) |
Enumeration Date | 2019-03-12 |
Last Update Date | 2019-03-31 |