NPI | 1619116514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 237835) |
Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 237835) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2009-03-17 |