NPI | 1811068240 |
---|---|
Former Name | SALLY ANN ELLIOTT STIEGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MT LPN 27734) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN L0530978) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2007-07-08 |