NPI | 1548397557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO PN-45095) |
Additional Taxonomies | 376K00000X Nurse's Aide |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-11-25 |