NPI | 1093053894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY RN - 21102) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2013-01-29 |
Last Update Date | 2013-01-29 |