NPI | 1376057588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 185268) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 222331) |
Enumeration Date | 2017-11-27 |
Last Update Date | 2017-11-27 |