NPI | 1104586288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TN 250557) |
Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: NY 757827) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 757827) | |
Enumeration Date | 2021-12-30 |
Last Update Date | 2021-12-30 |