NPI | 1821486549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VT 025.0097155) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NH 016578-22) |
Enumeration Date | 2015-01-05 |
Last Update Date | 2015-01-05 |