NPI | 1639504152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP048815) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043114639) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2013-09-04 |