NPI | 1184973026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: GA RN126748) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN126748) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2012-09-06 |