NPI | 1013294974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R163695) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1017923) |
Enumeration Date | 2011-11-07 |
Last Update Date | 2011-11-07 |