NPI | 1275885048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 456579-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 91288) |
Enumeration Date | 2012-10-04 |
Last Update Date | 2012-10-04 |