NPI | 1457716904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-067912) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 317022) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2015-12-29 |