NPI | 1548405400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 172223-030) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.389267) |
Enumeration Date | 2008-12-08 |
Last Update Date | 2011-01-18 |