| NPI | 1104684331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001311662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1058696) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |