NPI | 1760055008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.089473) |
Additional Taxonomies | 251J00000X Nursing Care (Licence: IL 043.089473) |
305S00000X Point of Service | |
Enumeration Date | 2021-07-23 |
Last Update Date | 2022-01-09 |