NPI | 1255130449 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN159074) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |