NPI | 1295076008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN 74034-4) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 316037-31) |
Enumeration Date | 2013-03-05 |
Last Update Date | 2013-03-05 |