NPI | 1114342359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD R208611) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R208611) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2018-06-12 |