NPI | 1124697115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MO 146910) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: IL tem-cov19-10106) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2021-06-23 |