NPI | 1679015408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 102704) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 102704) |
163WH0200X Registered Nurse, Home Health (Licence: SC 102704) | |
163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 102704) | |
163WP0200X Registered Nurse, Pediatrics (Licence: SC 102704) | |
Enumeration Date | 2016-11-10 |
Last Update Date | 2016-11-10 |