NPI | 1295051704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R085415) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 144803) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2010-04-09 |