NPI | 1922240845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN073957) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 10 278553) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2009-03-25 |