NPI | 1255835252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 7073) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 192920) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-03-23 |