NPI | 1760621718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: IN 28151240A) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 590245) |
Enumeration Date | 2009-02-16 |
Last Update Date | 2009-02-16 |