NPI | 1386796167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 179817-30) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 305608-31) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2011-09-12 |