NPI | 1548780265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95113276) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2295959) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2017-06-23 |