NPI | 1912219908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IL 209006118) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OH ns11421) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2014-08-05 |