| NPI | 1023528064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: NH 082498-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R088794) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2020-06-08 |