NPI | 1508447095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 1071285) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2280859) |
Enumeration Date | 2021-04-16 |
Last Update Date | 2022-09-28 |