| NPI | 1215794839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500011836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1655502) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |