NPI | 1760101984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0024360) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN298458) |
Enumeration Date | 2022-08-23 |
Last Update Date | 2022-08-23 |