NPI | 1336510510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R28427) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 92291-3) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2015-10-13 |