NPI | 1366632119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: LA 7282) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 75102) |
Enumeration Date | 2007-07-27 |
Last Update Date | 2019-07-18 |