NPI | 1588015028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-053007) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2014040799) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-06-27 |