NPI | 1720319320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NV RN43932) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: WI 74058-30) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2010-01-20 |