NPI | 1043636087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: SC R83686) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC R83686) |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-03-14 |