NPI | 1821510215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA 25814117) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0049691) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2017-07-07 |