NPI | 1629639125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 836990) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1121790) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-06-25 |