NPI | 1730578048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95050712) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 49435) |
Enumeration Date | 2015-01-10 |
Last Update Date | 2015-01-10 |