NPI | 1538276241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OK L0035986) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 147398) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2007-07-08 |