NPI | 1245540228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MO 2010018119) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 24-40168-081) |
Enumeration Date | 2010-10-08 |
Last Update Date | 2010-10-08 |