NPI | 1245432186 |
---|---|
Former Name | NORA JEANNETTE NEWTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VI 594) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 192410) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2007-07-08 |