NPI | 1215539689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-073401) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MS 337543) |
Enumeration Date | 2020-11-11 |
Last Update Date | 2020-11-11 |