NPI | 1194462135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MO 2016023307) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016023307) |
Enumeration Date | 2022-05-19 |
Last Update Date | 2022-05-19 |