NPI | 1699165670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002086739) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV 32586) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2015-01-29 |