NPI | 1174392591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 177126) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 902778) |
163W00000X Registered Nurse (Licence: MA RN2387061) | |
Enumeration Date | 2023-12-27 |
Last Update Date | 2023-12-27 |