NPI | 1740557131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 288830) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-062768) |
164W00000X Licensed Practical Nurse (Licence: OK 52407) | |
Enumeration Date | 2011-11-29 |
Last Update Date | 2011-11-29 |