NPI | 1891249520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 043.120095) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WI 342266) |
Enumeration Date | 2016-08-10 |
Last Update Date | 2016-08-10 |