NPI | 1871327056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP051484) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 332426) |
Enumeration Date | 2024-08-29 |
Last Update Date | 2024-08-29 |