NPI | 1548524531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP54397) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00124827) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2021-01-25 |