| NPI | 1003405721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R222535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1050698) |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-01-17 |