NPI | 1578057691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MD R177992) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R17792) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-09-28 |