| NPI | 1073052916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1038305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r216727) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |