NPI | 1538659982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95129138) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 382816) |
Enumeration Date | 2018-05-11 |
Last Update Date | 2018-05-11 |