NPI | 1770090185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: FL RN9409811) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9409811) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2023-09-20 |