NPI | 1316171150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 603323-1) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VT 026.0047234) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2009-05-07 |