NPI | 1720593866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 1111111111) |
Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
Enumeration Date | 2017-12-12 |
Last Update Date | 2021-02-01 |