NPI | 1376054163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: WA RN61079973) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP053560) |
Enumeration Date | 2017-10-19 |
Last Update Date | 2022-09-20 |