NPI | 1639326598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P323180) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 05447) |
Enumeration Date | 2008-08-22 |
Last Update Date | 2008-08-22 |