| NPI | 1164002952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1021184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001130529) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |