NPI | 1538755186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001284739) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202010955RN) |
Enumeration Date | 2020-12-17 |
Last Update Date | 2020-12-17 |