NPI | 1285059915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: MT NUR-RN-LIC-44801) |
Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: TX 556363) |
163WP2201X Registered Nurse Ambulatory Care (Licence: LA RN063294) | |
Enumeration Date | 2014-03-04 |
Last Update Date | 2014-03-04 |