NPI | 1689979510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: NC 101-117460) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 049048) |
Enumeration Date | 2011-01-25 |
Last Update Date | 2011-01-25 |