NPI | 1689940785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R041201) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 178915) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2012-03-22 |