NPI | 1013065408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9360447) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA 67572) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2016-03-25 |