NPI | 1730223975 |
---|---|
Former Name | WINNETTA NASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN46162) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2007-02-19 |
Last Update Date | 2007-07-08 |