NPI | 1457120107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CO 0122074) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 481896) |
Enumeration Date | 2023-12-21 |
Last Update Date | 2023-12-21 |