NPI | 1760785935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026.0077700) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VT 025.0069128) |
Enumeration Date | 2010-12-10 |
Last Update Date | 2011-10-07 |