| NPI | 1225480106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R166776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1039258) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |