NPI | 1326271305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 20132414) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 222716) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2015-02-05 |