NPI | 1972287886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC 200002563) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002100280) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-06-12 |