NPI | 1265954143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SC 240320) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 240320) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2022-07-21 |