NPI | 1689895310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN098319L) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NE00996500) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |