NPI | 1770710121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5230612) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 278693-1) |
Enumeration Date | 2009-06-12 |
Last Update Date | 2018-10-01 |