NPI | 1346486990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9285145) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA 282153) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2010-03-29 |