NPI | 1255702874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: SC 228173) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041423983) |
Enumeration Date | 2015-10-08 |
Last Update Date | 2015-10-08 |