NPI | 1275635302 |
---|---|
Former Name | JERRIE L SEIGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: UT 11829211-3101) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 178624) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2022-11-17 |