NPI | 1013325984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: OR 097003106RN) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OR 097003106RN) |
Enumeration Date | 2014-07-23 |
Last Update Date | 2014-07-23 |