NPI | 1902377278 |
---|---|
Former Name | MELONEY DIANE TURPEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WA LP60845980) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN253289) |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |