NPI | 1770160129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 43128888) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043128888) |
Enumeration Date | 2021-03-24 |
Last Update Date | 2024-09-18 |