NPI | 1912562372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 144109) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: WA 0019084) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-09-24 |