NPI | 1750718805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MO 116943) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2285524) |
Enumeration Date | 2013-10-03 |
Last Update Date | 2013-10-03 |