NPI | 1457609000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 695972) |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-09-04 |