NPI | 1871093575 |
---|---|
Former Name | DAWN BELTRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV LPN17491) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 332144) |
Enumeration Date | 2018-02-19 |
Last Update Date | 2018-02-19 |