NPI | 1689135469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 306306-031) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 306306-31) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2019-03-26 |