NPI | 1891032157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN059388) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: GA LPN059388) |
374K00000X (Licence: GA LPN059388) | |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-09 |