NPI | 1003272618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 470623) |
Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: NY 470623) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |