NPI | 1861293904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR LPN10042105) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5245304) |
Enumeration Date | 2025-03-24 |
Last Update Date | 2025-03-24 |