NPI | 1881815330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP38647) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1002297) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |