| NPI | 1235919119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1043502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD RN1043502) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-07-02 |