NPI | 1124593173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 811511) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95165109) |
Enumeration Date | 2018-10-05 |
Last Update Date | 2019-12-13 |