| NPI | 1033573563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1026746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R207843) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |