NPI | 1043630023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 24734) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 210) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2014-04-17 |