NPI | 1760961833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 317819) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 154385) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-09 |