NPI | 1649841537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA 44069) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA ln44069) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2021-07-02 |