NPI | 1972896553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC 1008097) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001112422) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2011-05-16 |