| NPI | 1174084081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1051314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 911062) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-02-06 |