| NPI | 1114342359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD R208611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R208611) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2018-06-12 |