NPI | 1255693784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: LA AP03935) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: LA RN071970) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2012-06-11 |