NPI | 1124427034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: SC 99858) |
Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: SC 99858) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2014-08-15 |