| NPI | 1225684491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN200002482) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LPN1002699) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-12-15 |