NPI | 1992090641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VT 025.0069694) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VT 0250069694) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2022-11-10 |