NPI | 1629300850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN59970) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN59970l) |
Enumeration Date | 2010-02-15 |
Last Update Date | 2010-02-24 |