NPI | 1295282549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP35921) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN25854L) |
Enumeration Date | 2016-09-03 |
Last Update Date | 2016-09-03 |