NPI | 1962966424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2012038044) |
Additional Taxonomies | 405300000X Prevention Professional (Licence: MO 2012038044) |
Enumeration Date | 2019-01-29 |
Last Update Date | 2019-01-29 |