NPI | 1881977080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: ND L12865) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MN 067829-6) |
Enumeration Date | 2011-09-23 |
Last Update Date | 2011-09-23 |