| NPI | 1205202579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD RN205709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9404364) |
| 163W00000X Registered Nurse (Licence: DC RN1029915) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |