NPI | 1801131339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MS P329445) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN144372) |
Enumeration Date | 2012-12-10 |
Last Update Date | 2014-05-24 |