NPI | 1265715825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN264691) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 145722) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2014-09-18 |