NPI | 1184032260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 074190) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041162061) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2014-08-01 |