NPI | 1710681135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS 337001) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: MS 337001) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2023-03-29 |