NPI | 1821840299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 30005373) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5255862) |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-11-11 |