NPI | 1235536418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-050593) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002068646) |
Enumeration Date | 2014-12-03 |
Last Update Date | 2014-12-03 |