NPI | 1700904265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000118070) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN138554) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-07-08 |