NPI | 1730527607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: VA 0001175436) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: HI 73276) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2013-06-12 |