| NPI | 1194147264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1031761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R207998) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |