NPI | 1326792714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: DE L1-0072586) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DE L2-0011308) |
Enumeration Date | 2022-02-05 |
Last Update Date | 2024-02-21 |