NPI | 1366860850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SC 204285) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 326) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |