NPI | 1598985194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN260889L) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DE L2-0008335) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2007-07-08 |