NPI | 1912263799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 593137) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN300255) |
Enumeration Date | 2012-04-06 |
Last Update Date | 2022-04-08 |