NPI | 1043716657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R162558) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R162258) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |