NPI | 1073754792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MA 267223) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 93557-030) |
Enumeration Date | 2009-03-09 |
Last Update Date | 2009-03-09 |