NPI | 1194308528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CO 1627424) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: CA 95194860) |
Enumeration Date | 2021-05-03 |
Last Update Date | 2021-05-03 |