NPI | 1366990988 |
---|---|
Former Name | ARICA LYNNETTE ALSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL pn5203038) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 262223) |
Enumeration Date | 2016-09-12 |
Last Update Date | 2016-09-12 |