NPI | 1356895296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041176327) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 057932) |
Enumeration Date | 2016-08-09 |
Last Update Date | 2016-08-09 |