| NPI | 1013294974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R163695) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1017923) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |