| NPI | 1245774561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001258837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1038403) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2017-05-23 |