NPI | 1841760147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043105884) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27061423A) |
Enumeration Date | 2018-11-29 |
Last Update Date | 2018-11-29 |