| NPI | 1033605753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MD R221590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1014471) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2022-05-05 |