NPI | 1053062398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD T20211554) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704252423) |
Enumeration Date | 2022-01-18 |
Last Update Date | 2022-01-18 |