NPI | 1093892986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001060709) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001060709) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2007-07-08 |