NPI | 1235128836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: HI 56824) |
Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MD R165628) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2007-07-08 |