NPI | 1194926956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA TLRN023936) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0034296) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2007-07-08 |