NPI | 1922303767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-060344) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5220040) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2016-10-27 |