| NPI | 1124889399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1054024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001325107) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |