NPI | 1144613555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 140041) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 835997) |
164W00000X Licensed Practical Nurse (Licence: LA 20100219) | |
Enumeration Date | 2015-03-09 |
Last Update Date | 2015-03-09 |