NPI | 1518666460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.130652) |
Additional Taxonomies | 376K00000X Nurse's Aide |
390200000X Student in an Organized Health Care Education/Training Program | |
163W00000X Registered Nurse (Licence: IL 041.560829) | |
Enumeration Date | 2023-03-01 |
Last Update Date | 2024-07-18 |