NPI | 1881288611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 27388) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC 27388) |
Enumeration Date | 2021-02-23 |
Last Update Date | 2021-02-23 |