NPI | 1477988103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1622457) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN648374) |
Enumeration Date | 2013-09-12 |
Last Update Date | 2013-09-12 |