NPI | 1366942849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 383084) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: KY 383084) |
Enumeration Date | 2018-02-20 |
Last Update Date | 2018-02-20 |