NPI | 1689921215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 200606) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 200606) |
164W00000X Licensed Practical Nurse (Licence: WI 313843-31) | |
Enumeration Date | 2012-08-14 |
Last Update Date | 2022-05-02 |