NPI | 1942291984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA 33272) |
Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: MA 1065) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2007-07-08 |