NPI | 1588803183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0008120) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN104032L) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2009-02-05 |