| NPI | 1215215306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD r156192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC rn967707) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |