NPI | 1912135039 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: GA RN196963) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VA 0001142051) |
Enumeration Date | 2009-06-26 |
Last Update Date | 2009-06-26 |