NPI | 1679745582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 2525912) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-03-31 |
Last Update Date | 2016-11-13 |