NPI | 1487984894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 717222) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 303571-031) |
Enumeration Date | 2010-01-06 |
Last Update Date | 2024-03-11 |