NPI | 1619272937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 2144822) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 2144822) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2011-01-18 |